• Texas Department of Agriculture

    Form | NSLP/SBP |Technology-Based Confirmation | Exemption
    September 10, 2021

  • Technology-Based Confirmation Exemption Request Form

  • The requirement for a confirmation review may be waived if the CE has a technology-based system that not only demonstrates a high-degree of verification accuracy when processing household applications but also meets criteria determined by TDA that supports continued accuracy of the system. A high degree of accuracy is defined as a less than 5% eligibility determination error rate on the CE’s most recent Administrative Review.

  • If approved, the technology-based confirmation exemption is in effect as long as the CE’s most recent Administrative Review (AR) indicates a 5% or less eligibility determination error rate. If the CE’s most recent Administrative Review (AR) indicates an eligibility determination error rate of greater than 5%, the exemption is no longer in effect.

    Questions about an exemption to use technology-based confirmations may be submitted to TDA by email to SNPWaivers@TexasAgriculture.gov. Technology-Based Confirmation should be recorded in the subject line of the email.

      To submit a request to TDA, please take the following actions:

    • Complete the Technology-Based Confirmation Exemption Request Form located in the Texas Unified Nutrition Programs System (TX-UNPS), Download Forms, NSLP/SBP Exemptions and Waivers.

    • Retain a copy of the submitted form for the CE’s records.

    • Click Submit when the form is completed.

     

  • Part I. Contracting Entity (CE) Information

    Provide the following information about the CE
  • Part II. Confirmation Requirements

  • Part II. Confirmation Requirements

  • Part III. Attestation Statement

    Check each of the following statements as true:
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  • Select Submit to send the form to TDA. It may take a few minutes for the form to submit depending on your connection speed. Please click Submit only once. You will receive a confirmation message when the submission is complete.

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